Family Contribution Estimator Form

FOR STUDENTS NOT ELIGIBLE TO APPLY FOR FAFSA
*Please attach copies of student and/or parent tax returns.
--->2024-25 school year, please submit 2022 income documents.
--->2025-26 school year, please submit 2023 income documents.
(If you did not file a federal tax return, you must provide documentation for income from all sources.)

Student Information
Today's Date Today's Date / MM / DD YYYY
Name Name First Last
Donnelly Student ID or SSN
Date of Birth (DOB) Date of Birth (DOB) / MM / DD YYYY
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Cell Phone Number Cell Phone Number - ### - ### ####
Donnelly Email or Personal Email
Student's Marital Status

Student's Marital Status Unmarried (single, divorced, widowed) Married or remarried Separated
What is the student's state of legal residence?
When the student begins the 2024-25 school year, what will their grade level be?

When the student begins the 2024-25 school year, what will their grade level be? First year (Freshman) Second year (Sophomore) Other undergraduate (junior year & beyond) Master's or Doctorate Program
Does the student have children or other dependents that they support?

Does the student have children or other dependents that they support? Yes No
What are the student's personal circumstances?

What are the student's personal circumstances? The student is currently serving on active duty or a veteran of the US Armed Forces. At any time since student turned 13, they were an orphan. At any time since the student turned 13, they were in foster care. The student is or was a legally emancipated minor or in legal guardianship. The student is unaccompanied and homeless. None of these apply.
Student Financials (Tax Year 2022)
Did the student file taxes in 2022?

Did the student file taxes in 2022? Yes No
Student's Adjusted Gross Income

A student's adjusted gross income includes more than just wages. It could also include alimony, Social Security, and business income. If they're married, include their spouse's—adjusted gross income, which includes wages, alimony, Social Security, and business income.
Student's Total Assets

Assets include the student’s total cash, savings, and checking accounts; the net worth of their businesses and investment farms; and the net worth of their investments, including real estate (but not the home in which they live).
If student is a parent, how much child support has the student received, if any?

Enter the total amount received in child support for the last complete calendar year. Enter "0" if the total is zero or less than zero.
Parent(s) Information & Financials (Tax Year 2022)

Please Note: If student is 24 years old or more, please choose "Not Applicable" or type in N/A for answers.
What is the parent's marital status?

What is the parent's marital status? Married or remarried Unmarried (single, divorced, widowed) Unmarried and both parents living together Not Applicable (student over 24)
What is the parent's state of legal residence?
How many people are in the parent's family, including the student?
Did the student's parents file taxes in 2022?

Did the student's parents file taxes in 2022? Yes No Not applicable (student over 24)
Parent's Adjusted Gross Income:

A parent's adjusted gross income includes more than just wages. It could also include alimony, Social Security, and business income.
Parent's Total Assets

Assets include the parent's total cash, savings, and checking accounts; the net worth of their businesses and investment farms; and the net worth of their investments, including real estate (but not the home in which they live).
How much child support did the parent receive, if any?

Enter the total amount received in child support for the last complete calendar year. Enter "0" if the parent didn't receive any child support.
Upload Documents: upload student, and if needed parent, financial documents here.
(Other submissions options: drop them off in Room 115 on campus or scan/email PDFs to financialaid@donnelly.edu)

Please Note: pictures, images, or screenshots of documents will not be accepted.

Examples of Income Documentation:
o 2022 U.S. Individual Income Tax Return or 2022 Tax Return Transcript
o 2022 W-2(s)
o Letter from employer(s) verifying income for the year 2022 (must be on employer letterhead), must also include employer contact information and employer wet signature
Upload File(s) Here:

Attach Files
Students: Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Parent (if student is under 24 years of age): Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.

Family Contribution Estimator Form

Family Contribution Estimator Form

Student Information

Student Financials (Tax Year 2022)

Parent(s) Information & Financials (Tax Year 2022)

Upload Documents: upload student, and if needed parent, financial documents here. (Other submissions options: drop them off in Room 115 on campus or scan/email PDFs to financialaid@donnelly.edu)

Upload Documents: upload student, and if needed parent, financial documents here.
(Other submissions options: drop them off in Room 115 on campus or scan/email PDFs to financialaid@donnelly.edu)